I home cook for all my dogs, including my dog with MVD.
My dog w/ MVD improved initially on Hill's L/D but then became intolerant to it, and almost anything else I fed her (home cooked or commercial food) so I had little choice but to seek a nutrition consult, pretty much out of desperation because my little dog was not thriving and I was worried for her future. Her bile acids and overall medical status improved greatly with home cooking.
About 3 months ago, however, she had a bacterial infection, and that hit her hard from the antibiotics and such. She was losing weight. In three months she dropped from 8 lbs to 6.5 lbs. We put her back on L/D to put some weight back on her and she is putting it on. She likes the L/D and so far she is tolerating it. There will come a time when she doesnt, and then I'll go back to her home cooked.
So my opinion on this is that home cooking is a great option. But, if commercial food is working, then I would not upset the apple cart. L/D is a good food for liver compromised dogs.
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